Evidence map›Paper›PMID 38614990›Full record

ArticleBMC cardiovascular disorders2024

Trajectory of cardiac troponin T following moderate-to-severe COVID-19 and the association with cardiac abnormalities.

Tarjei Øvrebotten, Albulena Mecinaj, Knut Stavem, Waleed Ghanima, Eivind Brønstad, Michael T Durheim, Tøri V Lerum, Tony Josefsen, Jostein Grimsmo, Siri L Heck and 4 more

Open access · goldAbstract read
In one paragraph

Article in BMC cardiovascular disorders, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 91% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 0 citations in OpenAlex.

  1. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 5 institutions in 2 countries.

Tarjei ØvrebottenDepartment of Cardiology, Division of Medicine, Akershus University Hospital, Lørenskog, Norway.
Albulena MecinajDepartment of Cardiology, Division of Medicine, Akershus University Hospital, Lørenskog, Norway.
Knut StavemHealth Services Research Unit, Akershus University Hospital, Lørenskog, Norway.
Waleed GhanimaInstitute of Clinical Medicine, Faculty of Medicine, University of Oslo, Oslo, Norway.
Eivind BrønstadDepartment of Circulation and Medical Imaging, Norwegian University of Science and Technology, Trondheim, Norway.
Michael T DurheimInstitute of Clinical Medicine, Faculty of Medicine, University of Oslo, Oslo, Norway.
Tøri V LerumDepartment of Pulmonary Medicine, Oslo University Hospital Ullevål, Oslo, Norway.
Tony JosefsenDepartment of Cardiology, Østfold Hospital Kalnes, Østfold, Norway.
Jostein GrimsmoDepartment of cardiac and pulmonary rehabilitation, Cathinka Guldberg's Hospital, Lovisenberg Rehabilitation, Jessheim, Norway.
Siri L HeckK.G. Jebsen Center for Cardiac Biomarkers, Institute for Clinical Medicine, University of Oslo, Oslo, Norway.
Torbjørn OmlandDepartment of Cardiology, Division of Medicine, Akershus University Hospital, Lørenskog, Norway.
Charlotte B IngulDepartment of Circulation and Medical Imaging, Norwegian University of Science and Technology, Trondheim, Norway.
Gunnar EinvikDepartment of Pulmonary Medicine, Akershus University Hospital, Lørenskog, Norway.
Peder L MyhreDepartment of Cardiology, Division of Medicine, Akershus University Hospital, Lørenskog, Norway. p.l.myhre@medisin.uio.no.
University of Oslo · NOAkershus University Hospital · NONorwegian University of Science and Technology · NOOslo University Hospital · NOØstfold Hospital Trust · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCOVID-19 has been associated with cardiac troponin T (cTnT) elevations and changes in cardiac structure and function, but the link between cardiac dysfunction and high-sensitive cardiac troponin T (hs-cTnT) in the acute and convalescent phase is unclear.

objectiveTo assess whether hs-cTnT concentrations are associated with cardiac dysfunction and structural abnormalities after hospitalization for COVID-19, and to evaluate the performance of hs-cTnT to rule out cardiac pathology.

methodsPatients hospitalized with COVID-19 had hs-cTnT measured during the index hospitalization and after 3-and 12 months, when they also underwent an echocardiographic study. A subset also underwent cardiovascular magnetic resonance imaging (CMR) after 6 months. Cardiac abnormalities were defined as left ventricular hypertrophy or dysfunction, right ventricular dysfunction, or CMR late gadolinium.

resultsWe included 189 patients with hs-cTnT concentrations measured during hospitalization for COVID-19, and after 3-and 12 months: Geometric mean (95%CI) 13 (11-15) ng/L, 7 (6-8) ng/L and 7 (6-8) ng/L, respectively. Cardiac abnormalities after 3 months were present in 45 (30%) and 3 (8%) of patients with hs-cTnT ≥ and < 5 ng/L at 3 months, respectively (negative predictive value 92.3% [95%CI 88.5-96.1%]). The performance was similar in patients with and without dyspnea. Hs-cTnT decreased from hospitalization to 3 months (more pronounced in intensive care unit-treated patients) and remained unchanged from 3 to 12 months, regardless of the presence of cardiac abnormalities.

conclusionHigher hs-cTnT concentrations in the convalescent phase of COVID-19 are associated with the presence of cardiac pathology and low concentrations (< 5 ng/L) may support in ruling out cardiac pathology following the infection.

Indexed as

COVID-19Heart Defects, CongenitalHeartHumansHypertrophy, Left VentricularTroponin TTroponin TBiomarkerCardiac functionCOVID-19EchocardiographyTroponin

Identifiers

PMID38614990
PMCPMC11015606
OpenAlexW4394785855

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.